{ "_example": { "description": "Search ExplanationOfBenefit (claims) for an IBX member, filtered by professional claim type and service date range.", "request": { "method": "GET", "url": "https://eapics.ibx.com/patient/v1/fhir/ExplanationOfBenefit?patient=example-ibx-member-1&type=professional&service-date=ge2025-01-01", "headers": { "Accept": "application/fhir+json", "Authorization": "Bearer eyJhbGciOiJSUzI1NiIs......" } }, "response_status": 200 }, "resourceType": "Bundle", "type": "searchset", "total": 1, "link": [ {"relation": "self", "url": "https://eapics.ibx.com/patient/v1/fhir/ExplanationOfBenefit?patient=example-ibx-member-1&type=professional"} ], "entry": [ { "fullUrl": "https://eapics.ibx.com/patient/v1/fhir/ExplanationOfBenefit/example-eob-1", "resource": { "resourceType": "ExplanationOfBenefit", "id": "example-eob-1", "meta": { "profile": [ "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Professional-NonClinician" ] }, "status": "active", "type": { "coding": [ {"system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "professional", "display": "Professional"} ] }, "use": "claim", "patient": {"reference": "Patient/example-ibx-member-1"}, "billablePeriod": {"start": "2025-02-04", "end": "2025-02-04"}, "created": "2025-02-12T11:08:00-05:00", "insurer": {"display": "Keystone Health Plan East"}, "provider": {"display": "Penn Medicine Internal Medicine - Center City"}, "outcome": "complete", "insurance": [{"focal": true, "coverage": {"reference": "Coverage/example-coverage-1"}}], "item": [ { "sequence": 1, "productOrService": { "coding": [{"system": "http://www.ama-assn.org/go/cpt", "code": "99214", "display": "Office visit, established patient, moderate complexity"}] }, "servicedDate": "2025-02-04" } ], "total": [ { "category": {"coding": [{"code": "submitted", "system": "http://terminology.hl7.org/CodeSystem/adjudication"}]}, "amount": {"value": 188.00, "currency": "USD"} }, { "category": {"coding": [{"code": "benefit", "system": "http://terminology.hl7.org/CodeSystem/adjudication"}]}, "amount": {"value": 148.00, "currency": "USD"} } ] } } ] }